Intra-Hospital Transport of Patients on Non-Invasive Ventilation: Review, Analysis, and Key Practical Recommendations by the International NIV CommitteeAnnia Schreiber1, Antonio Javier Domínguez Petit2, Paolo Groff3, Andrea Purro4, Rodolfo Ferrari5, Andrea Antonelli6, Sven Stieglitz7, Roberto Cosentini8, Güniz Koksal9, Pablo Bayoumy Delis10, Giuseppe Fiorentino11, Levent Dalar12, Antonio M. Esquinas101Respiratory Intensive Care Unit and Pulmonary Rehabilitation Unit, Salvatore Maugeri Foundation, Pavia, Italy 2Emergency Department of the General Hospital, Hospital Universitario Virgen del Rocío, Seville, Spain 3Emergency Department Ospedale Madonna del Soccorso San Benedetto del Tronto, Ascoli Piceno, Italy 4Emergency and Critical Care, Presidio Sanitario Gradenigo, Torino, Italy 5U.O. Medicina d 6Allergologia e Fisiopatologia Respiratoria, ASO S. Croce e Carle Cuneo, Cuneo, Italy 7Department of Pneumology and Cardiology, Petrus Hospital Wuppertal, Academic Teaching Hospital of the University of Duesseldorf, Wuppertal, Germany 8Fondazione IRCCS Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena, U.O. Medicina d 9Department of Anesthesiology and Reanimation, Cerrahpaşa School of Medicine, İstanbul University, İstanbul, Turkey 10Intensive Care Unit, Hospital Morales Meseguer, Murcia, Spain 11Respiratory Unit, AO Ospedali dei Colli Monaldi, Naples, Italy 12Department of Pulmonary Medicine, İstanbul Bilim University School of Medicine, Şişli Florence Nightingale Hospital, İstanbul, Turkey
Intra-hospital transport is often needed for diagnostic and therapeutic procedures that cannot be performed at the bedside. However, moving patients from the safe environment of an Intensive Care Unit (ICU) can lead to a variety of complications and adverse events, the risk is even higher in ventilated patients. This review is intended as a guide on how to prevent and avoid these adverse events during intra-hospital transport of patients on non-invasive ventilation (NIV). Greater attention should be paid to NIV indications and the selection of the patients to be transported. Detailed planning, preparation, and communication between the ward of origin and destination site, appropriate equipment, skilled staff, and continuous monitoring are the key major determinants of success in transporting critically ill patients on NIV. These points are discussed and analyzed in detail. Keywords: Acute respiratory failure, emergency department, intensive care unit, intra-hospital transport, non-invasive ventilation
Annia Schreiber, Antonio Javier Domínguez Petit, Paolo Groff, Andrea Purro, Rodolfo Ferrari, Andrea Antonelli, Sven Stieglitz, Roberto Cosentini, Güniz Koksal, Pablo Bayoumy Delis, Giuseppe Fiorentino, Levent Dalar, Antonio M. Esquinas. Intra-Hospital Transport of Patients on Non-Invasive Ventilation: Review, Analysis, and Key Practical Recommendations by the International NIV Committee. Eurasian J Pulmonol. 2017; 19(3): 124-129
Corresponding Author: Antonio Javier Domínguez Petit, Italy |
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